Anterior Cruciate Ligament Reconstruction With and Without Lateral Extra-Articular Tenodesis Among High Demand Patients

Inclusion Criteria

• •High demand patients (manual workers, athletes,...etc.).
• •Normal average body mass index ( 18.5 - 24.9 ).
• •Age \<40 years old.
• •Patients will be diagnosed as ACL tear by the following:
• •1. History of knee traumatic event.
• •2. Clinical examination ( positive Lachman test and pivot shift test).
• •3. Radiological evidence of ACL tear by MRI.
• •patient with high pivot shift test.